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A case of hepatocellular carcinoma with tuberculoma within tumor tissue
Authors:Kazuma Yano  Minekatsu Nishida  Tatsuto Yamamoto  Akira Tangoku  Ryoichi Shimizu  Tetsuji Uchiyama  Masaaki Oka  Takuo Murakami  Takashi Suzuki  Yoshimi Yamashita
Affiliation:1. Second Department of Surgery, Yamaguchi University, School of Medicine, 1144 Kogushi, 755, Ube, Yamaguchi, Japan
2. First Department of Pathology, Yamaguchi University, School of Medicine, 1144 Kogushi, 755, Ube, Yamaguchi, Japan
Abstract:We made a diagnosis of hepatocellular carcinoma and performed partial resection of the liver in a 72 year-old woman. Granulomas were observed within hepatocellular carcinoma in the surgical specimen. Microscopic findings demonstrated the granulomas particularly within the tumor, and showed that they were composed of epithelioid cells with caseous necrosis. These tuberculomas compressed the tumor cells, and many lymphocytes had infiltrated the tumor around the tuberculomas. The cancer stage of the patient was early and her prognosis is good.
Keywords:hepatocellular carcinoma  tuberculosis  granuloma
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